JUAN LUIS CASTILLO – Family Nurse Practitioner, NPI 1053778910

JUAN LUIS CASTILLO is a healthcare provider. based in Salem, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 201600993NP-PP (OR). The NPI Number for JUAN LUIS CASTILLO is 1053778910

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JUAN LUIS CASTILLO
NPI
1053778910
Phone
(503) 399-2424
Address
PO BOX 8100
Enumeration Date
24 January 2016
Last Update Date
31 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712730679
Graduation Year
2015 (11 years ago)
PAC ID
5890094833
Group Practice PAC ID
8426312497
Professional Enrollment ID
I20160426001934
Address ID
OR973051040SA1880XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for JUAN LUIS CASTILLO

  • PO BOX 8100

    SALEM, OR 973030900

    Phone: (503) 399-2424

    Fax: (503) 375-7429

    Type: Mailing

  • 1165, Union Street Northeast, Salem, Marion County, Oregon, 97301, United States

    SUITE 200

    SALEM, OR 973014693

    Phone: (503) 399-2424

    Fax: (503) 375-7429

    Type: Location

  • 1880 LANCASTER DR NE STE 108

    SALEM, OR 973051065

    Phone: (971) 273-0679

    Fax: (503) 961-0794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($29).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160426001934INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5532$0
99213Established patient office or other outpatient visit, 20-29 minutes4025$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional2312$0
View full utilization report →

Insurance plans in this area (ZIP 97303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426312497View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Where can patients find JUAN LUIS CASTILLO's NPI?
You can confirm JUAN LUIS CASTILLO with NPI 1053778910; it appears in the national provider directory.
Is JUAN LUIS CASTILLO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JUAN LUIS CASTILLO list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JUAN LUIS CASTILLO. Clinical services aligned with this taxonomy classification.
What location metadata exists for JUAN LUIS CASTILLO?
The page summarizes Salem, Oregon for JUAN LUIS CASTILLO; expand the address list for detail.
Is JUAN LUIS CASTILLO a real provider?
This page reflects official NPPES data for NPI 1053778910. Always confirm identity and privileges with the practice and licensing boards.

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